What happens when humans die is unknown. However, people do not reincarnate and instead usually depart for realms unknown. There are only a few circumstances where it is known what happens to a soul.
- The soul remains behind, stuck in the physical world as a result of some tragedy or other reason. They refuse to move on unless certain conditions are met.
- The soul is sacrificed and consumed by the Elder Horrors, possibly tormented for eternity or destroyed.
- The soul is taken by Leth Spirits as the result of a pact.
- When a person dies in their sleep, it's believed if they were dreaming at the time that their soul remains trapped in the Dream Realm.
Otherwise, souls are believed to leave this plane to journey to other realms upon death.